DR. DONALD TODD WYLIE


Address: 104 S Freya St., Ste 220, White Flag Bldg, Spokane, WA 99202-4867
Phone: 5095355855

DR. DONALD TODD WYLIE (NPI# 1750308243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750308243
Entity Type Individual
Full Name DR. DONALD TODD WYLIE
Credential O.D.
Practice Address 104 S Freya St.
Ste 220, White Flag Bldg
Spokane
WA 99202-4867
Practice Telephone 5095355855
Practice Fax Number 5095353916
Mailing Telephone 5095355855
Mailing Fax Number 5095353916
Enumeration Date 2006-07-17
Last Update Date 2019-03-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152WV0400X Optometrist
Specialization: Vision Therapy
1528-TX WA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 2024842 05

Other Providers DONALD WYLIE

NPI Name Taxonomy Address Enumeration
1518123157 Donald Alfred Wylie II Occupational Therapy Assistant 278 Dry Valley Rd, Cookeville, TN 38506-5461 2008-08-04

Office Location

Street Address 104 S FREYA ST.
STE 220, WHITE FLAG BLDG
City SPOKANE
State WA
Zip Code 99202-4867

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NPI Name Taxonomy Address Enumeration
1669099552 Morgan Physiotherapy, Pllc Physical Therapist 716 South Arthur Street, Spokane, WA 99202 2020-06-26
1659926863 Hiliary Beatty Marriage & Family Therapist 3101 E Boone Avenue, Spokane, WA 99202 2019-08-05
1992359301 Jennifer Pelzel Pharmacist Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 2019-07-25
1750858171 Elyse M Tullar Counselor 3101 E Boone Ave, Spokane, WA 99202 2018-10-24
1952830333 Kaleb E Walker Case Manager/Care Coordinator 1002 N Superior, Spokane, WA 99202 2017-06-08
1659823987 Laura Lenoue Chiropractor 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 2016-11-03
1376095141 Clinton George Ralph Counselor 624 S Cowley, Spokane, WA 99202 2016-10-27
1144772245 Megan Nicole Korst Counselor 104 S. Freya, Red Flag Bldg, Suite 101b, Spokane, WA 99202 2016-10-25
1043766652 Moffitt Children's Dentistry Dentist 520 S Cowley St Ste 101, Spokane, WA 99202 2016-09-01
1881147296 Natalie Stine Dietitian, Registered 203 E Spague Avenue, Spokane, WA 99202 2016-08-02
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Taxonomy Information

Taxonomy Code 152WV0400X
Grouping Eye and Vision Services Providers
Classification Optometrist
Specialization Vision Therapy

Taxonomy Definition

Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
Notes: Source: American Optometric Association [1/1/2009: added definition, added source]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306178298 Dr Kathleen M Kinney, Od, Ps Optometrist 1511 3rd Ave, Suite 411, Seattle, WA 98101-3635 2010-02-03
1821272360 Developmental Vision Associates, Pllc Optometrist 3315 S 23rd St Ste 215, Tacoma, WA 98405-1616 2007-12-19
1700998267 Kathleen Marie Kinney Optometrist 1511 3rd Ave Ste 411, Seattle, WA 98101-1682 2006-08-31
1194830539 Brian Lane Murray Optometrist 5906 Cemetery Rd, Arlington, WA 98223-6321 2006-08-19
1043279508 Theodore Stephen Kadet Optometrist 14030 Ne 24th St, Suite 101, Bellevue, WA 98007-3724 2006-03-22
1518960954 Michael Kalani De Rosier Optometrist 26 W H St, Suite A, Deer Park, WA 99006-7167 2005-05-31
1699282079 Spokane Vision Therapy, Pllc Optometrist 1120 N Pines Rd Ste C, Spokane Valley, WA 99206-4942 2018-01-06
1437691425 Northwest Vision Consultants Optometrist 11830 Ne 128th St, Suite 1, Kirkland, WA 98034-7202 2016-11-08
1144607037 Lisa Dok Optometrist 380 Se Barrington Dr, Oak Harbor, WA 98277-3266 2015-04-30
1841608809 Anita Devi Maher Optometrist 16006 Ash Way Ste 101, Lynnwood, WA 98087-6352 2014-07-22
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Competitor

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City SPOKANE
Zip Code 99202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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